Dental
Sahawneh Dental Corporation
Sahawneh Dental Corporation was paid $43K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is D0120, dental checkup, returning patient — 47% of everything it billed.
33Billing provider infoSAHAWNEH DENTAL CORPORATION
BREA, CA 92821
BREA, CA 92821
33aNPI1093884454assigned 11/07/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$43K
24GClaims17,770
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,832 of 2,668
Median peer was paid$173K
This provider vs. median0.3×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,940 | $0.00 | |
| 2019 | 4,875 | $0.00 | |
| 2020 | 2,047 | $0.00 | |
| 2021 | 710 | $634.35 | |
| 2022 | 1,750 | $3K | |
| 2023 | 1,767 | $19K | |
| 2024incomplete | 681 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 47% | 4,316 | 4,145 | $21K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 2,232 | 2,196 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 659 | 628 | $6K |
| D0210 | Intraoral - complete series of radiographic images | 12% | 655 | 634 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.6% | 5,758 | 3,768 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 4.2% | 931 | 914 | $2K |
| D0274 | Bitewings - four radiographic images | 2.8% | 1,694 | 1,647 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 726 | 693 | $278.33 |
| D1206 | Topical application of fluoride varnish | <1% | 460 | 454 | $165.50 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 89 | 52 | $0.00 |
| D1330 | 0% | 177 | 173 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 13 | 13 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMONTENEGRO, ARACELLY (SENIOR MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Northwest Dental Associates, PC | Beaverton, OR | $705K |
| Modern Dental Professionals Co PC | Aurora, CO | $125K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.